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Table 6 Inter-reconstruction diagnostic discrepancy

From: A new SPECT/CT reconstruction algorithm: reliability and accuracy in clinical routine for non-oncologic bone diseases

 

Symptoms

xSPECT Bone® abnormalities

Flash 3D® abnormalities

Diagnosis*

Error

 

Discrepancy between Flash 3D and diagnosis*

1

Hip pain

Right hip uptake

No pathological uptake

Right hip arthrosis

F3D-false negative

2

Right ankle pain

Right os trigonum syndrome

Right talus contusion

Right os trigonum syndrome

F3D-location

3

Left knee joint pain

Uptake of fracture sequelae of patella

No pathological uptake

Knee arthritis

F3D-false negative

4

Left gluteal region pain

Left sacroiliac joint uptake

No pathological uptake

Sacroiliac arthritis

F3D-false negative

5

Left knee joint pain, intercondylar eminence fracture several months ago

Intercondylar eminence uptake

No pathological uptake

Intercondylar eminence pseudarthrosis

F3D-false negative

6

Lumbar pain

Zygapophyseal arthritis

No pathological uptake

Zygapophyseal arthritis

F3D-false negative

 

Discrepancy between xSPECT Bone® and diagnosis*

7

Left ankle pain

Tarsometatarsal arthritis

No pathological uptake

Fibromyalgia

xB-false positive

8

Chronic left ankle pain

No pathological uptake

Calcaneus fracture

Fracture

xB-false negative

9

Right hip pain, prosthesis

No pathological uptake

Hip uptake

Prosthesis failure

xB-false negative

10

First tarsometatarsal pain

No pathological uptake

Tarsometatarsal uptake

Tarsometatarsal arthritis

xB-false negative

11

Feet pain

Micro fracture of the head of the 2nd metatarsal

2nd metatarso-phalangeal joint uptake

Arthritis

xB-location

12

Feet pain

Micro fracture of cuboid bone

No pathological uptake

Spontaneous disappearance of pain

xB-false positive

13

Left scapula pain

Supraspinatus tendinopathy

No pathological uptake

Spontaneous disappearance of pain

xB-false positive

14

Left ankle pain

No pathological uptake

Plantar fasciitis

Plantar fasciitis

xB-false negative

15

Right wrist pain

Lunate bone fracture

Lunate–capitate bone conflict

Pseudarthrosis

xB-location

16

Distal left thumb pain

Osteitis of the last phalange

No pathological uptake

Conversion disorder

xB-false positive

 

Non-informative clinical and paraclinical follow-up

17

Left foot pain

Sesamoide bone contusion

Tarsometatarsal arthritis

  

18

Left ankle pain

Talocrural arthritis with malleolus fracture

Talocrural arthritis without malleolus fracture

 

19

Left ankle pain

Tibia fracture

Talocrural arthritis

 

20

Right tibia pain

Talus fracture

No pathological uptake

 

21

Right first metatarsal bone pain

Sesamoide–metatarsal bone conflict

Fracture of the head of the first metatarsal bone

 
  1. F3D Flash 3D®, xB xSPECT Bone®
  2. *Diagnosis was done thanks to clinical and paraclinical follow-up